Dental Implants are the way to go when replacing just one tooth or multiple teeth. Under proper conditions most patient are good candidate for Dental Implants. Of course as with any medical treatments all candidates should be in good health. With good health healing is more predictable.
Dental Implants are fast replacing dental bridges. No longer must one endure food impaction below old bridges. With Dental Implants teeth don’t need to ground down to support a dental bridge.
People are finding that Dental Implants restore that natural feel of having individual teeth. Patients can now floss between the Dental Implant crowns and their natural teeth. Others have also felt rejuvenated because they are no longer obligated to denture and partials or relegated to sticky paste to help retain them.
What are Dental Implants?
Dental Implants are screw like in shape with internal chamber designed to be the housing for different attachments or abutments which ultimately hold dental prosthetics. These abutments can be utilized to hold crowns, bridges even dentures. Generally, Dental Implants are created from light weight yet strong Titanium alloy such as found in aerospace technology. They are manufactured with over 40 years of scientific use and research. Everything from the width, length, threads separation design and coating used to enhance bone integration has all been tested to produce desired results.
Importance of health factors
Debilitating health issues hinder Dental Implants integration (progressive growth of bone which binds to Dental Implants). Uncontrolled diabetes is one of them. That’s not to say the controlled diabetes is better, it’s just favorable in a case where diabetes is a concern. With diabetes healing is often delayed, which can lead to Dental Implants integration failure.
Another major concern for Dental Implants integration is Osteoporosis (loss of bone mass) and more importantly is the current use of Biophosphonate medication to control Osteoporosis. This type of medication causes an over production of bone, not a good thing.
Other critical hindrance to health is smoking. The nicotine, the heat and the additives in cigarettes encumber healing and integration. For example, these properties in cigarettes form a slimy dirty film between the newly placed Dental Implants and prepared bone site. One could visualize this just by seeing the residue left behind on smoker’s teeth, fingers and ash trays. This film hinders the integration. The heat kills the important capillaries needed for healing. The additives are just plain poisonous. One’s health is put in jeopardy with these smoking factors, why would an Implant site be any different?
Why are we so concerned with Integration
Integration of Dental Implant really starts with a healthy bony site and the prevention of gingival (gums) blood and tissue invading with-in the intermitted space between the Dental Implant and bone or bone graft. It is very importance to isolating dental Implants or bone grafts from the surrounding soft tissue. The importance of proper isolation is to inhibit the faster growing soft tissue from inhibiting the regeneration of bone. Bone matter take anywhere from ninety days or more to generate where as gingival tissue regenerated in twenty one days. So if one looks at this as a race, a poorly integrated site can lead to a failed Dental Implant, solely because gums tissue would grow into the critical space between the bone and Dental Implant.
Integration is everything
One must have a healthy receptor site (the area in which the Dental Implant is calculated to be placed). A desirable site is obtained one of four ways:
- A persons may be lucky and just have a reservoir of bone in terms of height and width.
- When a hopeless tooth is removed we preserve the extraction socket by performing a non-traumatic extraction. Debridement of the bony socket is performed which we then place bone grafting material with-in the socket. This procedure is the best way of preventing Osteo (bone) resorption.
- Elevation of the upper maxilla sinuses is often a procedure called for when the Maxllary sinus has pnumitized (expansion which decreasing the bone mass)
- Lastly, a bone block graft is performed to increase width, where the bone has grown too thin.